Diabtes 1

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Author:
jdonaldson
ID:
101884
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Diabtes 1
Updated:
2011-09-15 09:23:21
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diabetes Diabetes james James donaldson Donaldson usp USP
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Beatrice: "Edgar what on earth was that?" Edgar: "Sugar." Beatrice: "I've never seen sugar do that..."
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  1. For pre-diabetes, what is the range of IFG?
    >100 mg/dL but <126 mg/dL
  2. For pre-diabetes, what is the range for IGT?
    >140 mg/dL but <200 mg/dL
  3. For pre-diabetes, what is the range for HgbA1C?
    >5.7% but <6.4%
  4. What medications can increase BG levels?
    • - Phenytoin "please"
    • - Pentamidine "peter"
    • - Glucocorticoids "go"
    • - Beta-adrenergic agonists "buy"
    • - Thiazides "those"
    • - Diazoxide "darn"
    • - Thyroid meds "tasty"
    • - Nicotinic acid "nicotine"
    • - Vacor (pyriminil) "vapors"
  5. Screening for DMII should occur in all healthy adults > _____ yrs of age every _____ yrs.
    • 45
    • 3
  6. Screening for adults younger than ______ of age should occur frequently if they are _________ and have at least one of the additional risk factors:
    1. physical ______
    2. 1st deg. relatives with ______
    3. member of a high risk ______
    4. HDL < _____ or TG > ______
    5. Women with ______
    6. HgbA1C > ______, or _____ or ______
    7. Hx of _______
    8. Delivered baby weighing > ______
    9. On _____ medications
    • 1. inactivity
    • 2. DM
    • 3. ethnic group
    • 4. 35, 250
    • 5. PCOS
    • 6. 5.7, IFG, IGT
    • 7. CVD
    • 8. 9 lbs
    • 9. HTN
  7. Diagnosis of DM can be made with the following...
    1. ?
    2. ?
    3. ?
    • 1. Casual BG of ≥ 200 mg/dL with symptoms
    • 2. FPG ≥ 126 mg/dL on 2 separate days (preferred in non-pregnant adults)
    • 3. 2-hour glucose ≥200 mg/dL
  8. Look at complication and monitoring chart page 11 of DM notes.
    What are 4 major complications of DM?
    Nephropathy, peripheral neuropathy, retinopathy, atherosclerotic vascular disease.
  9. If HgbA1C is 6%, what is the estimated BG level?
    What about for each increment thereon?
    • 126 mg/dL.
    • For each 1% increase in HgbA1C, BG increase by roughly 30 mg/dL.
  10. What are the glycemic goals according to the ADA?
    • HgbA1C of < 7%
    • FPG 70-130 mg/dL
    • 1-2 hr post meal BG <180 mg/dL
  11. What are the glycemic goals according to the ACE and AACE?
    • HgbA1C of < 6.5%
    • FPG < 110 mg/dL
    • 1-2 hr post meal BG < 140 mg/dL
  12. What is the "take home point" of the DCCT trial?
    • HgbA1C of < 7% reduces the risk for microvascular complications
    • (reduction in macrovascular complications found to be insignificant)
  13. Medical Nutrition Therapy can achieve a 1-2% decrease in A1C levels in DMII (dependent on prior diet). What is the recommended carb intake?
    • At least 130 grams/day
    • 45-65% of total daily calories
  14. 1. How many minutes/week of aerobic exercise for DM?
    2. How many days/week of resistance training?
    • - 150 minutes/week (or 75-90 minutes of vigorous exercise)
    • - 3 times/week
  15. How much weight loss should be recommended for pts with DM (in whom this would be reasonable)?
    5-10 % of baseline body weight
  16. 1. In pts with DMI and hyperglycemia who are producing ketones, exercise may cause _______
    2. In pts with DM I&2 who are hypoglycemic with pre-exercise BG levels < 100 mg/dL, exercise may cause _____
    • - Increased BG
    • - hypoglycemia (eat before exercise)

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